Open AccessSmall-diameter TIPS combined with splenic artery embolization in the management of refractory ascites in cirrhotic patients
Author(s) -
Nathan E. Frenk,
Teodora Bochnakova,
Suvranu Ganguli,
Nathaniel D. Mercaldo,
Andrew S. Allegretti,
Daniel S. Pratt,
Kazumichi Yamada
Publication year - 2021
Publication title -
diagnostic and interventional radiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.754
H-Index - 43
eISSN - 1305-3612
pISSN - 1305-3825
DOI - 10.5152/dir.2021.19530
Subject(s) - medicine , splenic artery , refractory (planetary science) , ascites , embolization , radiology , portal hypertension , general surgery , cirrhosis , physics , astrobiology
Maximally decreasing portal pressures with transjugular intrahepatic portosystemic shunt (TIPS) is associated with improved ascites control but also increased encephalopathy incidence. Since splenic venous flow contributes to portal hypertension, we assessed if combining small-diameter TIPS with splenic artery embolization could improve ascites while minimizing encephalopathy.